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North Dakota rates for HCPCS 42210

Palatop Clsr Alveolar Ridge Grf Alveolar Ridge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.97 / $1,094.97 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.36 / $1,091.58 / $1,313.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,140.23 / $2,354.37 / $2,760.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.77 / $2,151.94 / $3,269.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.02 / $1,514.64 / $2,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.76 / $1,955.28 / $11,430.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.00 / $2,790.00 / $2,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.14 / $1,874.32 / $2,549.03